Endophthalmitis

Etiology

  • Infection inside the eye from staph, strep, enterococcus, fungal, other

Risk Factors

  • Exogenous (90-95%): complication of trauma, cataract surgery, or seeding from the outside in
  • Endogenous (5-10%): spread to eye via systemic infection (e.g. bacteremia from endocarditis)
  • Can be bacterial (staph, strep, other), fungal (e.g. candida), other

Symptoms

  • Acute
  • Fever
  • Loss of vision
  • Pain w/eye movement

Physical Exam Findings

  • Decline in vision - mild to severe based on degree of involvement
  • Diffuse redness of conjunctiva
  • Can involve the entire eye from anterior chamber (pus there causes white layer called hypopyon) to vitreous and retina

Links